انتيروسيل في هبوط الرحم — عندما تفضل المريضة تجنب استئصال الرحم

References

DOI: 10.1097/AOG.0000000000003519

• Hysteropexy is a viable alternative to hysterectomy in women with uterine prolapse, although there is less available evidence on safety and efficacy compared with hysterectomy.
• Women who desire surgical treatment of POP may choose to avoid hysterectomy for a variety of reasons, including preservation of fertility, maintenance of body image, and beliefs about adverse effects on sexual function.
• For women with asymptomatic prolapse, education and reassurance are appropriate.
• Pelvic muscle exercises, performed either independently or under professional supervision, may improve symptoms or slow the progression of POP.
• Women considering treatment of POP should be offered a vaginal pessary as an alternative to surgery.
• In one study protocol, a ring pessary was inserted first, followed by a Gellhorn pessary if the ring did not stay in place.